How Do You Convert Opana 40mgs Into Morphine Sulphate 200mg (Top voted first)

I ran out of Opana ER 40mg. I take 7 tabs at a time. That is 280mgs. I have Morphine Sulphate ER 200mg each. How do I do a conversion so I know how many Morphine Sulphate to take until I can get my script for Opana refilled?

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Yikes, again I am terminal and am now in severe pain daily and I would be terrified to be you (no offense intended at all). Be careful b/c these (some) pain docs will keep titrating you up b/c you are stuck w/the consequences. Our government is making Vicodin a schedule II drug & are enforcing reduced total fill amounts per month so if I were you I would start reducing and give your brain a chance to recognize what pain is from the changes in your brain chemistry & the complete loss of your natural painkillers. I know you want to scream at the world, IT REALLY HURTS! But there is pain & there is PAIN and death by cancer is the kind they throw meds at you for but there are still limits and NEVER NEVER would my hospice give me 540 Opanas, it's so unprofessional & your doc will be shut down, it's only a matter of time so do it now on your terms, it's just outrageous and irresponsible. I wish you less pain, but you are taking more Opana than 5 people, then you mention the other meds; what will you (or your doctors do) if you develop cancer or another debilitating disease? Do you know what it's like to get 100 mg Fentanyl IV and you are still at a 10? You don't want to and I have never taken anything close to what you take a day in 2 weeks, maybe more & I can basically have what I need/want. I think pain mgmt. is becoming too lucrative & it's being abused. I miss the days where people took Advil or Tylenol for a backache or just a 5 day course of Vicidin, now EVERYBODY is on pain mgmt. and you guys are really messing it up for cancer, sickle cell, rheumatoid arthritis, auto immune disorders and the many other really painful and at times, terminal diseases. Geez, put down the pills please and live life w/a reasonable amount of RX assistance but 540 pills plus all of the other PRN is CRIMINAL. Verwon, you are so PC and kind but as my pain hits a 12 and I am choosing to be awake w/my family and take enough Fentanyl to get to an 8, it does infuriate me. My PM doctor has quit taking anymore patients that don't get referred in w/a history and things he can see, feel or discuss w/a specialist b/c he even says he is disgusted and stunned by the amounts of pills being dispensed. Can't wait to show him this one! I hope you find a better way & feel better. I really do, don't waste writing back to defend your pain, I just don't have the time nor the empathy right now, my apologies, sincerely, just in a very bad place.

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That is an almost unbelievable amount of medication to be taking daily. 21 40mg opana daily and 2 dilaudid. What was that 540 opana a month! I would be terrified of whats coming in withdrawal. The best advice is to cut back because youll never be able to maintain a doseage like that and like he said what if you get cancer or have an accident? There will be no help for you! I cant imagine what the new doctor said when he saw what you were taking. You definitely should decrease your doseage slowly while you still have some meds because when you run out it will be too late!! You said that the pharmacy was closed?

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Awesome answer. I couldn't imagine that is just drug abuse at its worst. And I have a huge pain threshold and I have an exterior shoulder dislocation. And due to people like this I couldn't even get Vicodin because of people who abbuse and manipulate doctors. So I just suffered for the few days after it was put back in and mind you I only asked for a 2 -3 day supply .

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Wow! That's a very high dosage to be taking and I'm very sorry that you ran out.

How did you run out? Is your doctor aware that you take that many at once?

I'm not trying to be rude or anything, I am just concerned, since that is such a large dosage and has the potential to be dangerous.

Learn more Morphine details here.

As to the conversion, Opana is stronger than Morphine, so you'd require 840mgs of the Morphine to be equal to the 280mgs of Opana, but it is a time released formulation, so you can't cut or split the tablets.

And I also have to caution you to consult your doctor, before taking that much.

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Take 600mg or 3 of the Morphine ER 200MG tablets.

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I truly appreciate your concern; Yes my Dr is aware. My actual dosage is 18 tabs Opana ER per day. 7am, 7pm, & 4 in afternoon. It took 5yrs to titrate up to that dosage under a Dr's care. Also, I take 2 Dilauded 8mg PID for break-through pain. The problem began when my pharmacy, a sole proprietor closed shop and I fell victim to the large chains (a discussion for another time!!) I finally reached my Dr.who placed me on 3 tabs of Morphin Sulphate per day based on last years experience with side effects, & as much Dilauded as neccessary. It was a horrible, horrible month. I was in so much pain, there were several nights I considered going to the ER. Earlier this week, the pharmacy finally filled the RX with120 Opana ER (instead of the 540 prescribed) . In an effort to take it slow seeing as I had spent the last month on a much smaller dosage of morphine, I started with 4 Opana per dosage, and 2 in the afternoon. and slowly moved upwards per day. It has been 5 days since I have recieved the 120 Opana. I am up to 6 tabs in the am, 3 tabs in afternoon and 7 in the eve. As of this morning - I am finally pain free again and back down to 2 dilauded a day. I have an appointment with my doctor on 4/23. I don't know what's going to be if I cannot continue to obtain 18 tablets of Opana ER 40mg as prescribed.

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I have been having chronic pain for 34yrs. I am being treated at a pain man facility. I used to take 240mg of oxycontin a day plus 6 fiorocet with codiene. Becausemy insurance changed,they want to charge me 236 dollars a month. I have been on this dosage for 9 years. What can I change to to get the equivalent relief I was getting from the Oxycontin 80 mg tabs

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Re: Shari (# 3)

What state are u in i been on pain management for 30 years was on 200 mg 2 a day morphine sulf &30 mg oxcodone 3 times cut me.down 30mg morphine sulf.2 a day &10mg oxcodone 4 a day supposedly new rules or guidelines i can even get out bed most days i am hurting so bad not.much quality of life that's what they're supposed to be treating me 2 the doc says 120 milligrams a day is all the maximum dose keeps locking things up every time I turn the news on opiate abuse yeah there's opiate abuse out there and then there's people that need it to enjoy a little bit of life it get cut off because dumb asses are still in her on the streets

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